BIOSERENITY DT INC. – NPI #1306857792
Clinic/Center

BIOSERENITY DT INC. is an AHC clinic located in NORTH OLMSTED, OH. NPPES has assigned the NPI number 1306857792 to BIOSERENITY DT INC. on August 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS1200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Sleep Disorder Diagnostic

The NPI profile was previously updated about 4 years ago on May 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BIOSERENITY DT INC. below.

NPI Profile for
BIOSERENITY DT INC.

NPI Number
1306857792
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BIOSERENITY DT INC.
Primary location
25000 COUNTRY CLUB BLVD
SUITE 120
NORTH OLMSTED, OH 44070
Phone: (440) 845-0022 Fax: (440) 845-0107
Mailing address
99 ROSEWOOD DR STE 245
DANVERS, MA 01923-4537
Phone: (978) 536-7400 Fax: (975) 535-9778
Organization Subpart
No
Authorized Official
JANICE SHOCK
EVP CLINICAL OPERATIONS
Phone: (214) 532-3757
Updated
Certification Date
May 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1200X
- Clinic/Center / Sleep Disorder Diagnostic (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.